Individual
MR. W KENNETH MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1579 STRAITS TURNPIKE, TURNPIKE OFFICE PARK, MIDDLEBURY, CT 06762
(203) 598-0700
(203) 598-0076
Mailing address
1579 STRAITS TURNPIKE, TURNPIKE OFFICE PARK, MIDDLEBURY, CT 06762
(203) 758-1272
(203) 758-1070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000334
CT
Other
Enumeration date
04/20/2006
Last updated
03/10/2015
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